Johnathan Barnes
Dietitian, Registered in Memphis, TN. Individual provider (NPI-1).
NPI number1255272811
StatusActive
Last updated in NPPESApr 6, 2026
Details
- NPI
- 1255272811
- Entity type
- Individual (NPI-1)
- Name
- Johnathan Barnes
- Sex
- Male
- Sole proprietor
- Yes
- Enumeration date
- Apr 6, 2026
- Certification date
- Apr 5, 2026
- Last updated
- Apr 6, 2026
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 133V00000X | Dietitian, Registered | – | – | Yes |
Practice location
384 Winding River Cir Apt 202Memphis, TN 38120-2910
Phone 314-604-8928
Mailing address
3724 Jefferson St Ste 104Austin, TX 78731-6204
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